Macdonald, Jaclyn

Macdonald, Jaclyn is an sole proprietor health care provider with primary practice located at 2214 N University St , Peoria IL 61604-3221. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Macdonald, Jaclyn can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
2214 N University St Peoria IL 61604-3221
Phone: (309) 680-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.031141 Illinois

Profile Details

NPI number 1457881351
LBN Legal business name Macdonald, Jaclyn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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